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1124235072
RENA FOMASI
UKIAH, CA
NPI
1124235072
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2007-05-17
Last Update Date
2016-08-20
Business Address
-- RENA FOMASI
410 JONES ST
UKIAH, CA 95482-3919
Phone number: 707-972-0122
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Mailing Address
-- RENA FOMASI
410 JONES ST
UKIAH, CA 95482-5414
Phone number: 707-972-0122
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